【目的】 研究影响我国婴幼儿喂养困难发生的围生期因素。 【方法】 多阶段分层整群随机抽样法选取全国69 个市(县、区)6~24月龄婴幼儿4 017名,采用中国婴幼儿喂养困难评分量表评估其喂养困难状况,并采用自制问卷对围生期情况进行调查,Logistic回归分析筛选与婴幼儿喂养困难相关的围生期因素。 【结果】 妊娠高血压综合症、妊娠期糖尿病、前置胎盘、早产、低出生体重、高胆红素血症及新生儿窒息是喂养困难发生的危险因素。 【结论】 围生期情况对喂养困难发生有重要影响。规范母亲孕期保健、预防新生儿期疾病发生是降低婴幼儿喂养困难发生率的有效方法。
Abstract
【Objective】 To investigate the perinatal factors influencing infant feeding disorders in China. 【Methods】 A systematic cluster random sampling was used to identify 4 017 children aged 6 to 24 months in 69 areas throughout China.The caregivers of these children were requested to complete a Chinese version of the Montreal Children Hospital Feeding Scale (MCH-FS),and the perinatal factors were investigated by self-made retrospective questionnaires.Logistic regression analysis was used to identify risk factors associated with infant feeding disorders. 【Result】 Several significant risk factors were identified:hypertension during pregnancy,gestational diabetes mellitus,placenta previa,premature delivery,low birth weight,hyperbilirubinemia and neonatal asphyxia. 【Conclusion】 It is important to reduce the incidence of infant feeding disorders by strengthening antenatal care and decreasing neonatal diseases.
关键词
喂养困难 /
婴幼儿 /
围生期因素 /
新生儿疾病
Key words
feeding disorders /
infant /
perinatal factors /
neonatal diseases
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基金
湖北省自然科学基金项目(2010CDB10901)
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